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lian bang zhi ke lu tang jiang zhi hai luo yin xiang guan xing shen bing ban shen xing gu bing wu zhen wei ji zhu guan jie bing 1 li
Author(s): 
Pages: 183,198
Year: Issue:  3
Journal: New Chinese Medicine

Keyword:  海洛因相关性肾病肾性骨病联邦止咳露糖浆脊柱关节病;
Abstract: 海洛因相关性肾病是一种长期使用海洛因类成瘾性药物所致的肾脏损害.该文报道1例男性青年患者,由于骨痛及HLA-B27(+)被误诊为SpA,后经NSAID治疗效果不佳,追问病史才得以确诊为长期滥用联邦止咳露糖浆致海洛因相关性肾病伴肾性骨病.该例提示,对腰痛关节痛的患者,不能由于HLA-B27(+),就把诊断思路简单局限于SpA.要重视观察治疗效果(如该患者对NSAID反应不佳),及时调整诊断思路.
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